Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
s COMMUNITY DEVELOPMENT Permit#: FPS2014-00035
T t t;A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/05/2014
Parcel: 1 S 136CC00100
Jurisdiction: TIGARD
Site address: 8200 SW PFAFFLE ST
Project: Westside Christian High School Subdivision: 2006-016 PARTITION PLAT Lot: 3
Project Description: Fire sprinklers for gym addition,approximately(63)heads
Contractor: WYATT FIRE PROTECTION INC. Owner: WESTSIDE CHRISTIAN HIGH SCHOOL
9095 SW BURNHAM 4565 CARMEN DRIVE
TIGARD, OR 97223 LAKE OSWEGO,OR 97035
PHONE: 503-684-2928 PHONE: 503-697-4711
FAX: 503-684-9657
FEES
Description Date Amount
Specifics:, Permit Fee-COM 03/05/2014 $166.76
12%State Surcharge-Building 03/05/2014 $20.01
Type of Use: COM Plan Review-Fire Life Safety-COM 03/05/2014 $66.70
Class of Work: ALT Type of Const: IIIB Info Process/Archiving-Lg$2.00(over 03/05/2014 $2.00
Occupancy Grp: E Height: ft 11x17)
Stories: 1 Info Process/Archiving-Sm$0.50(up to 03/05/2014 $20.00
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Hazard: ORD1
Density: .10 Design Area: 1500
K Factor: 11.2
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $275.47
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $13,776.00
Residential Square Footage: 0
Fire Alarm Valuation: $0.00
•
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notifi - Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtai• . copy of the rules
or direc •uestions to• NC by calling 503.232.1987 or 1.800.332.2344.
•
Issue. By: G �� , Perrnittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. /
This permit card shall be kept in a conspicuous place on the job site until completion of the •roject.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Fire Protection System RECEIVED , OIZ t)l rI( I. 1 tilt.O:I.1
City of Tigard Receive d IffIIIM PermitNo.: /5, - ! 3's
• 13125 SW Hall Blvd.,Tigard,OR 97
IN
8 Plan Revie Q ��
! Phone: 503.718.2439 Fax: 503.59:.1 +rs 18 2014 e/g �'�� � �� Other Permit: /dam,,ti
I I c:n R I Inspection Line: 503.639.4175 CITY Or TIGARD Date Ready �I luris: See Page 2 for
Internet: www.ti d-or. ov Notified/Method: �� Supplemental Information
TYPE OF' I : , REQUIRED DATA:I-AND 2-FAMILY DWELLING
®New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling ❑Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ®Other:Educational Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:8200 SW Pfaffle St New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:WCHS Gym Addition Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overAl,a d t fit for he
DESCRIPTION OF WORK work indicated on this applicatio . if �
Fire Sprinklers for Addition to Westside Christian High School Valuation: �$]3T7�M QIf 8� a
Existing building area: 47119 square feet
New building area: 12962 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 1
Name:Above Type of construction: Comb
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New: Ordinary 1
0 APPLICANT 0 CONTACT PERSON NOTICE
Business name:Wyatt Fire Protection All contractors and subcontractors are required to be
Contact name:Ashley Payne licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:9095 SW Burnham Rd jurisdiction in which work is being performed.If the
City/State/ZIP:Tigard,OR 97223 applicant is exempt from licensing,the following reasons
apply:
Phone:(503)684-2928 Fax::( )
E-mail:a.payne @wyattfire.com
CONTRACTOR BUILDING PERMIT FEES*
Business name:Wyatt Fire Protection (Pkaar ref
otsliraeke/rk
Permit fee:
Address:
City/State/ZIP: State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:( ) ) (Due upon application.)
CCB lic.:64077 Total permit fees:
Amount received:
Authorized signature:
This permit application expires if a permit is not obtained
Print name:Ashley Payne Date:2/18/2014 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\BuildingPermits\FPS-PermitApp.doc Rev 01/052012 440-4613T(11,02 COM WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
Describe work to be done:
1.) ® New 2.) Modification to sprinkler heads only:
❑ Addition ❑ 1-10 heads: No plan review required.
❑ Alteration ® 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads: fi.
Additional description of work:
Type of System (Complete A, B,C or D as applicable):
A.) Commercial Sprinkler
® Wet ❑ Dry
Additional Standpipes
Information: Hazard Group Ordinary 1
Density .10
Design Area 1500
K. Factor 11.2
Sprinkler Project Valuation: $ 8400
B.) Type I- Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
D.) Residential Sprinkler (Stand Alone System)
Square Footage: Permit Fee:
0 to 2,000 $198.75
2,001 to 3,600 $246.45
3,601 to 7,200 $310.05
7,201 and greater $404.39
Sprinkler Project Square Footage: sq. ft.
Fire Protection Permit Fees
Project valuation subtotal (see A,B&C above): $
Permit fee based on project valuation (see fee schedule): $
Permit fee based on square footage(see D above): $
State Surcharge(12%of permit fee): $
FLS Plan Review (40%of permit fee): $
TOTAL: $
Plan review requires a completed application and three (3) sets of plans at submittal.
Plan review fees are required at submittal.
C:\Users\Ashley\Documents\Projects\WCHS application.doc Rev 01/05/2012 2